H.R. 5347 · 119th Congress (2025–2027)
Health Care Efficiency Through Flexibility Act
This bill delays certain requirements relating to the reporting of quality measures by accountable care organizations (ACOs) under the Medicare Shared Savings Program. It also requires the Centers for Medicare & Medicaid Services (CMS) to establish a pilot program that tests alternative digital reporting methods for ACOs.
The Medicare Shared Savings Program enables ACOs to receive payments for savings stemming from care coordination and management. In 2024, the CMS issued a rule requiring ACOs to report on quality measures using a certain electronic system beginning in 2025.
The bill allows ACOs to continue to use prior methods of reporting quality measures through 2029. Additionally, the CMS must establish a pilot program to test other digital reporting methods from 2028-2032; ACOs that participate in the pilot program are exempt from using other methods. The CMS must publicly post an analysis of the program and any related recommendations for using the tested methods.
Show official title
To amend title XVIII of the Social Security Act to ensure the availability of appropriate collection types for quality reporting under the Medicare Shared Savings Program, and for other purposes.
Passed House
Latest actionReferred to committee
This bill’s path
287 days after it was introduced
This is H.R. 5347’s recorded path, not a universal congressional workflow.
How bills become lawAll actionsIntroduced9 months
Passed House
Passed Senate
Sent to President
Signed into law
- Sponsor
- Rep. Vern Buchanan (R-FL-16)
- Cosponsors
4 cosponsors
3 original · 1 later
- Rep. Dan Crenshaw (R-TX-2)· Original · Sep 15, 2025
- Rep. Darin LaHood (R-IL-16)· Original · Sep 15, 2025
- Rep. Jimmy Panetta (D-CA-19)· Original · Sep 15, 2025
- Rep. Michael Lawler (R-NY-17)· Later · Jan 12, 2026
- Policy area
- Health
- Subjects
- Computers and information technology
- Government information and archives
- Health care quality
- Medicare
On this page
Timeline
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In chronological order. Major procedural acts are shown in full. Committee work and ordinary amendments fold in place where they happened, so they do not jump the sequence or stretch the timeline.
Referred to Health
Referred to the Subcommittee on Health.
Sources
- Congress.gov action
- House committee actions
Introduced in House
Document: Introduced in House
Sources
- Congress.gov actionIntro-H
- Library of Congress
▸ 7 committee actions · Sep 15, 2025 – May 21, 2026
Referred to committee
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Sources
- Congress.gov action
- House floor actions
Markup session held
Committee Consideration and Mark-up Session Held
Sources
- Congress.gov action
- House committee actions
Ordered reported
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
Sources
- Congress.gov action
- House committee actions
Subcommittee markup session held
Subcommittee Consideration and Mark-up Session Held
Sources
- Congress.gov action
- House committee actions
Forwarded by subcommittee
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
Sources
- Congress.gov action
- House committee actions
Markup session held
Committee Consideration and Mark-up Session Held
Sources
- Congress.gov action
- House committee actions
Ordered reported
Ordered to be Reported by the Yeas and Nays: 44 - 0.
Sources
- Congress.gov action
- House committee actions
Passed House
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
The House passed the bill as amended.
Document: Engrossed in House
Sources
- Congress.gov action
- House floor actions
- Latest
Referred to committee
Received in the Senate and Read twice and referred to the Committee on Finance.
Sources
- Congress.gov action
- Senate
Committees
May 13, 2026 · Markup
Jan 8, 2026 · Hearing
Sep 17, 2025 · Markup
Floor record
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Explicit consideration evidence: the measure’s bill-status citation matched a GovInfo title, headline, or first paragraph. Incidental mentions are not listed.
Jun 29, 2026 · House · Considered under suspension of the rulesCongressional Record H4272–H4273
Health Care Efficiency Through Flexibility Act
Text & titles
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Each distinct name Congress.gov recorded, once. Official, short, display, and popular titles stay distinct when the wording differs. The same wording is not repeated for every text version.
Titles (2)
Health Care Efficiency Through Flexibility Act
Display title, Short title · Referred in Senate, Engrossed in House, Introduced in House
To amend title XVIII of the Social Security Act to ensure the availability of appropriate collection types for quality reporting under the Medicare Shared Savings Program, and for other purposes.
Official title · Engrossed in House, Introduced in House